NRSG 2220 Health Assessment Exam 1
Questions with Verified Correct Answers
Nonverbal Communication
- physical appearance/expression
- posture/positioning
- gestures
- eye contact
- tone of voice
- touch
Verbal Communication
- health interview skills
- speech patterns --> use moderate pace and volume
- simple, clear language
- articulate
Communication Techniques
- Restatement --> pt elaborates about content
- Reflection --> summarize main themes
- Elaboration (Facilitation) --> assist pt to completely describe difficulties/topics
- Silence --> allows pt time together thoughts
- Focusing --> redirect pt to pertinent topic
- Clarification --> questions to allow pt to elaborate/clarify
- Summarizing --> reviewing + condensing info to 2-3 main important things; Chief
Complaint
,Phases of the Interview Process
Pre-interaction Phase --> compiling preexisting data; preparing with previous medical records
Beginning Phase --> introductions; state your purpose
Working Phase --> closed-ended/directed questions (specific info); open-ended questions
(broad answers in their own words)
Closing Phase --> summarizing; state the most important 2-3 problems/patterns
Primary Data
directly from patient; subjective data
Secondary Data
from medical documents or family members
Gathering Patient Data
- consider the reliability of the historian
- record the info
- note any discrepancies
- find additional sources to confirm history
Components of a Health History
- demographics
- reason for seeking care (chief complaint)
- history of the present illness (i.e. location/duration/intensity/quality or
description/aggravating or alleviating factors/pain goal/functional goal)
, - past health history/comorbidities
- current medications
- review of each bodily system
Psychosocial or Lifestyle Assessment
- social/cultural/spiritual assessment
- coping or stress tolerance
- mental health assessment (i.e. history/medical/alcohol or drug problems)
- human violence assessment/possibility of abuse
- sexual history (i.e. orientation/educational needs)
The Nursing Process
Five Steps:
1.) Assessing
2.) Diagnosing
3.) Planning
4.) Implementing
5.) Evaluating
Characteristics of the Nursing Process
- Systematic --> part of an ordered sequence of activities
- Dynamic --> interaction and overlap of phases
- Interpersonal --> patient at the core
- Outcome Oriented --> nurses and patients work together to find outcomes
- Universally Applicable --> framework for all activities
Reflection IN Action
Questions with Verified Correct Answers
Nonverbal Communication
- physical appearance/expression
- posture/positioning
- gestures
- eye contact
- tone of voice
- touch
Verbal Communication
- health interview skills
- speech patterns --> use moderate pace and volume
- simple, clear language
- articulate
Communication Techniques
- Restatement --> pt elaborates about content
- Reflection --> summarize main themes
- Elaboration (Facilitation) --> assist pt to completely describe difficulties/topics
- Silence --> allows pt time together thoughts
- Focusing --> redirect pt to pertinent topic
- Clarification --> questions to allow pt to elaborate/clarify
- Summarizing --> reviewing + condensing info to 2-3 main important things; Chief
Complaint
,Phases of the Interview Process
Pre-interaction Phase --> compiling preexisting data; preparing with previous medical records
Beginning Phase --> introductions; state your purpose
Working Phase --> closed-ended/directed questions (specific info); open-ended questions
(broad answers in their own words)
Closing Phase --> summarizing; state the most important 2-3 problems/patterns
Primary Data
directly from patient; subjective data
Secondary Data
from medical documents or family members
Gathering Patient Data
- consider the reliability of the historian
- record the info
- note any discrepancies
- find additional sources to confirm history
Components of a Health History
- demographics
- reason for seeking care (chief complaint)
- history of the present illness (i.e. location/duration/intensity/quality or
description/aggravating or alleviating factors/pain goal/functional goal)
, - past health history/comorbidities
- current medications
- review of each bodily system
Psychosocial or Lifestyle Assessment
- social/cultural/spiritual assessment
- coping or stress tolerance
- mental health assessment (i.e. history/medical/alcohol or drug problems)
- human violence assessment/possibility of abuse
- sexual history (i.e. orientation/educational needs)
The Nursing Process
Five Steps:
1.) Assessing
2.) Diagnosing
3.) Planning
4.) Implementing
5.) Evaluating
Characteristics of the Nursing Process
- Systematic --> part of an ordered sequence of activities
- Dynamic --> interaction and overlap of phases
- Interpersonal --> patient at the core
- Outcome Oriented --> nurses and patients work together to find outcomes
- Universally Applicable --> framework for all activities
Reflection IN Action
